Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | G10000936 | DE |
Y | 213EG0000X | General Practice | G10000936 | DE |
NPI | 1003936873 |
---|---|
Provider Name | Dr. Paul Gerden Collins |
First Address | Millsboro, DE 19966 |
Second Address | Millsboro, DE 19966 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 08/09/2014 |